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在全内镜脊柱手术后,由Cutibacterium acnes引起的骨髓炎病例
Saori Takeuchi1, Satoru Yabuno1, Masatoshi Yunoki1
1Department of Neurosurgery, Kagawa Rosai Hospital, Marugame, Japan.
Surgical neurology international
|October 1, 2025
概括
延迟性骨髓炎是全内镜脊柱手术 (FESS) 的罕见并发症,可能在手术后几周发生. 这一案例突出了Cutibacterium作为一个原因,只能用抗生素治疗.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 传染性疾病 传染性疾病
- 整形外科 整形外科 整形外科
背景情况:
- 全内镜脊柱外科手术 (FESS) 已被认为具有最大限度地减少手术部位感染的潜力.
- 尽管它有好处,但FESS后的术后感染仍然可能发生,尽管很少见.
研究的目的:
- 在FESS后报告一种罕见的晚发性骨髓炎病例.
- 为了确定致病原体及其治疗结果.
主要方法:
- 一名71岁的男性患者接受了L4-L5 FESS,用于狭窄和椎间盘.
- 诊断工作包括MRI,CT和CT导向活检,以怀疑感染.
- 治疗包括基于活检结果的抗生素.
主要成果:
- 患者在FESS后40天出现了严重的腰部疼痛和 sciatica.
- 图像检测显示L4/5骨髓炎,在活检上确定了Cutibacterium.
- 患者成功地响应了抗生素治疗,没有进一步的手术.
结论:
- 这个案例说明了FESS后40天的延迟骨髓炎,由Cutibacterium acnes引起.
- 仅抗生素治疗就足以恢复,这表明这种罕见感染的非手术治疗选择.
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